Coronavirus Disease 2019

Coronavirus Disease 2019

Updated May 22, 2020

Livingston County Health Department (LCHD) is closely monitoring an outbreak of respiratory illness caused by a novel (new) coronavirus (COVID-19). The virus was first detected in Wuhan City, Hubei Province, China and continues to expand globally. The most up-to-date information on the situation is available from the Centers for Disease Control and Prevention (CDC).

Governor Whitmer has extended the "Stay Home, Stay Safe" executive order through May 28, 2020 (EO 2020-96). Under this order, Michiganders must stay home except to run critical errands, to engage in safe outdoor activities, or to go to specified jobs. The order requires people to wear homemade face coverings in enclosed public spaces. It also allows some workers who perform previously suspended activities to go back to work. Please remember to stay home as much as possible and stay at least 6 feet from others while out.
 

COVID-19 Case Information

Beginning May 5, Livingston County is reporting data on probable cases, as well as confirmed cases. Probable cases are individuals that have been directly linked or in close contact to a confirmed case and have symptoms consistent with COVID-19, but were not tested. Learn more.

Total Michigan Cases
Total Livingston County Cases
53,913
496

COVID-19 Cases in Livingston County Residents

Confirmed CasesProbable Cases
HospitalizationsDeathsRecovered
390106
7626
351
Data source: Michigan Disease Surveillance System (MDSS)


Local Response Actions

COVID-19 is spreading in Livingston County. By working together, we can slow it down and save lives. Everyone, young and old, should stay home and avoid all non-essential contact. When you must go out, limit your trips, wear a mask or cloth face covering, and stay at least six feet apart from others. Wash your hands frequently and don’t touch your face. Our individual actions affect the health of our entire community. Social distancing can reduce the spread of disease, prevent our healthcare system from being overburdened, and protect the most vulnerable members in our community from infection. What we do as a community protects us all.
 
The Livingston County Health Department continues to respond aggressively to COVID-19 to keep our residents updated, informed, and safe during this challenging time. Our staff are conducting case investigations, contact tracing and monitoring; disease surveillance and control; and providing situational updates and guidance to the public, media and partners. We are committed to ensuring that Livingston County residents, partners, elected officials, and the media get trusted, accurate information about our local situation and response.


Symptoms

Symptoms of coronavirus disease 2019 (COVID-19) may appear 2-14 days after exposure and can include:
  • Cough
  • Shortness of breath or difficulty breathing
  • Fever
  • Chills
  • Muscle pain
  • Sore throat
  • New loss of taste or smell

This list is not all inclusive. Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.

Individuals who are concerned about their health and experiencing respiratory illness or other concerning symptoms, should call their healthcare provider to discuss their symptoms. The CDC's Coronavirus Self-Checker can help you make decisions about seeking appropriate medical care.  Also, consider reading What to Do If You Are Sick with Coronavirus Disease 2019 (COVID-19).


If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Bluish lips or face

*This list is not all-inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.


How it Spreads

The virus that causes COVID-19 is spreading very easily and sustainably between people. The virus is thought to spread mainly from person-to-person. This spread can occur between people who are in close contact with one another (within about 6 feet), or through respiratory droplets produced when an infected person coughs, sneezes, or talks. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
 
Some recent studies have suggested that COVID-19 may be spread by people who are not showing symptoms. Maintaining good social distance of at least six feet is very important in preventing the spread of COVID-19.
 
It may also be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.

You cannot tell if someone has a risk of spreading novel coronavirus by what they look like. Stereotypes and discrimination harm public health.


Prevention

There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19). The best way to prevent illness is to avoid being exposed to this virus. You can prevent the spread of illness by practicing everyday healthy habits.
  • Stay at home.
    • Leave for essential trips only.
    • Practice social distancing when out. Social distancing means keeping at least six feet between people.
    • Do not touch your face or mouth, especially when out.
    • Stay home when you are sick, except to get medical care. Call ahead before going to your healthcare provider. Learn what to do if you are sick.
    • Wash hands after going out.
  • Clean your hands often.
    • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
    • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
    • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Cover your mouth and nose with a cloth face cover when around others.
    • You could spread COVID-19 to others even if you do not feel sick.
    • Wear a cloth face cover when you have to go out in public, for example to the grocery store or to pick up other necessities. (Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.)
    • The cloth face cover is meant to protect other people in case you are infected.
    • Continue to keep a distance of at least six feet between yourself and others. The cloth face cover is not a substitute for social distancing.
    • Learn how to properly use your cloth face covering.
  • Avoid close contact.
    • Avoid close contact with people who are sick.
    • Stay home as much as possible.
    • Put distance between yourself and other people (social distancing).
      • Remember that some people without symptoms may be able to spread virus.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash. Immediately wash your hands.
  • Clean and disinfect.
    • Clean and disinfect frequently touched objects and surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
    • If surfaces are dirty, clean them. Use detergent or soap and water prior to disinfection.
    • A list of disinfectants for use against SARS-CoV-2 (the virus that causes the COVID-19 disease) is available from the Environmental Protection Agency (EPA). This list includes many commonly used products.

Testing

Individuals with concerns or symptoms should call their health care provider first with questions. Remember that your symptoms may also be caused by other viruses, such as flu. Additionally, an individual without symptoms is very unlikely to test positive, even with possible exposure.


Who should get tested?
Some people are being prioritized for testing to ensure optimal care for hospitalized patients and those at highest risk and to lessen the risk of health-care associated infections. See current priorities for testing patients with suspected COVID-19 infection from the U.S. Public Health Service. Call your healthcare provider if you think you should be tested.
 
The Michigan Department of Health and Human Services (MDHHS) has also expanded testing criteria for Coronavirus Disease (COVID-19) to include individuals with mild symptoms if there are enough resources and capacity.
 
How can I get tested?
Testing is ongoing by local health care providers. Individuals with concerns or symptoms should call their health care provider about testing. If you do not have a primary care provider, some urgent cares and health systems are providing testing (see below). Always call before arriving. This will allow the health care provider to prepare for your arrival.
 
Where can I get tested?
Call your health care provider first.
Drive-through testing:
  • St. Joseph Mercy Livingston Hospital
    • No appointment required
    • Patients will be screened first to determine if testing is needed; online screening is recommended: https://ihaecare.zipnosis.com/
    • Location: 620 Byron Road West Entrance Drive, Howell, Michigan 48843
    • Website: www.stjoeshealth.org
    • Phone: 517-545-6000
    • COVID-19 hotline: 1-833-247-1258
Other testing locations:

Clinician Information
Clinicians should decide which patients receive testing based on the local epidemiology of COVID-19, as well as the clinical course of illness. Clinicians are strongly encouraged to test for other causes of respiratory illness, including infections such as influenza. If sending specimen to MDHHS lab, a Person Under Investigation (PUI) Form must be completed, faxed to LCHD at 517-545-9685, and accompany the specimen (COVID-19 Specimen Packaging and Shipping Info). Please be aware, testing resources are limited and while all specimens will be tested, they may be prioritized based on clinical symptoms and epidemiological test factors. Clinicians with questions can call LCHD at 517-546-9850. More information on testing criteria can be found at https://www.cdc.gov/coronavirus/2019-nCoV/hcp/clinical-criteria.html.

Travel Information

Community transmission of COVID-19 is widespread around the globe, including within the United States. Crowded travel settings, like airports, may increase chances of getting COVID-19, if there are other travelers with coronavirus infection. Depending on your unique circumstances, you may choose to delay or cancel your plans. If you are arriving in Livingston County, Michigan from another location, please plan to self-quarantine for 14 days upon arrival. For the most up to date travel information, view travel alerts through the CDC.


Resources for More Information

Health and COVID-19 Questions:
Executive Order Questions and Complaints:
Livingston County Health Department:
Michigan Department of Health and Human Services:
Michigan Attorney General:
Long-term Care Facility Complaints:
Michigan Department of Licensing and Regulatory Affairs: